Global Resources

A Framework to Identify Gender Indicators for Reproductive Health and Nutrition Programming

Author: M. Avni, R. Firestone, J. Gay
Publisher: Population Resource Bureau
Publication Date: Oct 2002
This paper introduces a framework which uses a three-step process to incorporate gender into population, health and nutrition (PHN) programming:
? Identify the gender-related obstacles to, and opportunities for, achieving a particular objective - such as reducing unintended pregnancy - in a particular setting;
? Include or adapt activities aimed at reducing those gender-related obstacles; and
? Add indicators to monitoring and evaluation plans to measure the success of the activities designed to mitigate gender-related obstacles.

Aimed at programme planners, the focus of the framework is at the level of interventions rather than focusing on changes in behaviour or health status at the population level.

For example: under the objective 'reduce unintended pregnancy' the framework identifies the gender-related obstacle as being 'women cannot successfully negotiate family planning use because it is culturally inappropriate for them to discuss sexual issues with providers or partners'. Activities to address the obstacle are: 'Training of service providers to address issues of sexuality in counselling sessions with both men and women'; and 'Information, education, communication and participatory interventions to help clients discuss sensitive issues and communicate with their partners'.

The indicators to measure success against the objective are 'change in providers' counselling content, style and ability' and 'change in individuals' attitudes and behaviours'. Finally the data sources are: 'Pre- and post-training observations; attitudinal surveys at clinic; qualitative interviews with women and men'.